Dental
Konikoff Dental Associates, INC.
Konikoff Dental Associates, INC. was paid $1.34M by Medicaid between Jan 2018 and Sep 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoKONIKOFF DENTAL ASSOCIATES, INC.
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
33aNPI1063570968assigned 12/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.34M
24GClaims68,384
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#27 of 549
Median peer was paid$29K
This provider vs. median46×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,182 | $200K | |
| 2019 | 8,446 | $215K | |
| 2020 | 6,784 | $158K | |
| 2021 | 9,546 | $232K | |
| 2022 | 9,560 | $275K | |
| 2023 | 16,423 | $261K | |
| 2024incomplete | 9,443 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 15,483 | 15,341 | $397K |
| D1206 | Topical application of fluoride varnish | 18% | 15,501 | 15,353 | $247K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 12,519 | 12,401 | $193K |
| D0272 | Bitewings - two radiographic images | 7.7% | 6,336 | 6,265 | $104K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 946 | 582 | $68K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 2,530 | 2,300 | $67K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.0% | 509 | 267 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 5,411 | 5,260 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 1,780 | 1,758 | $40K |
| D9630 | 2.6% | 2,208 | 2,176 | $35K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 2,988 | 2,155 | $27K |
| D1351 | Sealant - per tooth | 1.8% | 1,331 | 457 | $24K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 293 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 132 | $7K |
| D0330 | Panoramic radiographic image | <1% | 123 | $7K |
| D9248 | <1% | 41 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 47 | $4K |
| D1110 | Prophylaxis - adult | <1% | 61 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 24 | $483.60 |
| D0140 | Limited oral evaluation - problem focused | <1% | 75 | $451.92 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 29 | $0.00 |
| D9310 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Gentle Dental Gratiot Ave PLLC | Detroit, MI | $4.52M |
| Pdom Elkton | Elkton, MD | $4.44M |
| Pdom Havre De Grace | Havre De Grace, MD | $4.29M |
| Dental Center of Goshen PLLC | Goshen, IN | $3.23M |
| Gentle Dental Grand River PLLC | Detroit, MI | $2.49M |
| Pediatric Dentistry and Orthodontics of Maryland LLC | Glen Burnie, MD | $1.99M |
| Gentle Dental Westland PLLC | Westland, MI | $1.60M |
| Dental Care Alliance LLC | Sarasota, FL | $838K |
| Gentle Dental Shores PLLC | Saint Clair Shores, MI | $754K |
| Family Dental Group Associates PLLC | Flint, MI | $703K |
| Gentle Dental Warren PLLC | Warren, MI | $559K |
| Gentle Dental Bay PLLC | New Baltimore, MI | $305K |
| Gentle Dental Thorndale LLC | Thorndale, PA | $237K |
| Gentle Dental Shelby PLLC | Shelby Township, MI | $150K |
| Westland- Wayne P.C. | Westland, MI | $70K |
| Detroit - Gratiot P.C. | Detroit, MI | $24K |
| Dental One Associates (Westminster) PC | Westminster, MD | $7K |
| Dental One Associates Woodbridge PC | Woodbridge, VA | $3K |
| Germantown Dental Associates | Philadelphia, PA | $2K |
| Dental One Associates (Manassas) P.C. | Manassas, VA | $447.70 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.